Organization
THREE OAKS BEHAVIORAL HEALTH OF RIDGELAND, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES E. LOWERY (MANAGING OFFICER)
(601) 991-3080
Entity
Organization
Contact information
Practice address
408 FONTAINE PLACE, SUITE 101, RIDGELAND, MS 39157
(601) 991-3080
Mailing address
408 FONTAINE PLACE, SUITE 101, RIDGELAND, MS 39157
(601) 991-3080
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
DCS TOBHR PHA OP 01
MS
Other
Enumeration date
05/21/2007
Last updated
08/22/2020
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